Speak it, dictate it, type it, or upload it. Twofold turns it into a polished clinical note.
Record, dictate, or upload.
In-person or telehealth. Any device.
Your voice. Your format. Every time.
Four ways to capture. One finished note.
Built for board-certified internists. Twofold drafts comprehensive H&Ps, multi-problem progress notes, and consult letters with internal-medicine terminology and complete ICD-10 / E/M coding support.
ClinicianHow have you been sleeping since we last spoke?
ClientBetter, I think. Five or six hours most nights now — not great, but better than three.
ClinicianThat’s real progress. And how’s the mood through the day?
ClientLower in the mornings, mostly. By lunchtime I usually feel more myself.
ClinicianAny thoughts of harming yourself or anyone else?
ClientNo. Nothing like that. The CBT homework is helping me catch the spiral earlier.
Sleep improved to 5–6 hrs/night. Reports lower mood in the mornings, easing by midday. No SI/HI.
Engaged, congruent affect. Adherent to medication. PHQ-9 9 · GAD-7 6
MDD, recurrent, moderate — partial response with persistent diurnal variation. F33.1
2-week follow-up for hypertension management. No new symptoms.
BP 128/82 HR 72 Cardiovascular exam unremarkable. Tolerating regimen.
Essential hypertension — well-controlled on current therapy. I10
4-day history of productive cough. Denies fever, chest pain, or shortness of breath. No recent travel or sick contacts.
Afebrile. SpO₂ 98% Lungs clear bilaterally; no wheeze or crackles. ENT unremarkable.
Likely post-viral bronchitis — self-limited. J20.9
Bilateral frontal headaches, 3×/week, 2–3 hr duration. Pressure quality. No aura, photophobia, or vomiting.
Vitals stable. Neuro exam non-focal. Cervical paraspinal tenderness noted. BP 122/78
Tension-type headache — likely posture-related; rule out migraine. G44.209
From multi-problem follow-ups to inpatient progress notes — Twofold keeps the documentation structured no matter how many issues come up in a single visit.
A1c trend, lipid panel, and BMI tracked across visits. Med titration and SGLT2/GLP-1 plans documented in a billable format.
Home BP logs, ASCVD risk scores, and statin discussions surface inline. Multi-drug regimens stay clean and reconciled.
eGFR trend, ACR, and electrolyte tracking with renally-dosed medication cues and nephrology-referral readiness.
NYHA class, daily weights, BNP, and GDMT titration documented to support guideline-aligned care.
Spirometry, inhaler technique, exacerbation count, and step-up therapy logged in a structured plan section.
Med reconciliation, Beers-criteria flags, and deprescribing rationale captured for safe, defensible adult medicine.
Every detail, exactly where it belongs.
Speak. Get your note. That’s it.
One session. Every document you need.
Real humans, every hour of every day.
HIPAA compliant. BAA on every plan. We never store recordings or train on your data.
Yes. Twofold fully complies with all HIPAA privacy and security requirements to protect PHI. Our platform is designed with strict administrative, technical, and physical safeguards in place so clinicians can confidently use Twofold for clinical documentation.
Yes. Every Twofold account receives a signed BAA. This agreement outlines our responsibilities for protecting PHI and ensures you are covered from a compliance standpoint when using Twofold.
No. Twofold does not store raw audio from your sessions at any time. Audio is processed securely in real time to create the transcript for your note, and then the recording is permanently deleted. This significantly reduces exposure risk and keeps your sessions private.
Never. Twofold does not use your audio, transcripts, notes, or any PHI to train AI models. Your data remains private to your account and is only used to generate your notes and related clinical documents. We do not sell, share, or use your data for model improvement or external purposes.
No. Twofold does not allow any third-party access to PHI. Only authorized personnel with a legitimate security or support need can access limited information, and such access is tightly controlled and audited.
Twofold operates on secure, US based infrastructure that meets industry standards for healthcare data protection. All data is encrypted in transit and at rest to ensure privacy and security throughout the entire lifecycle of your note.
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No credit card. Cancel anytime.
Tailored to your practice size.
Internal-medicine visits routinely cover 4–8 active problems. Twofold keeps the documentation structured for internists no matter how many issues come up:
Compare with workflows on the primary care page.
Yes. Twofold ships templates for the full inpatient documentation cycle hospitalists need:
See the full set in our template library.
Yes. Twofold meets the strictest healthcare privacy and security standards:
Full details in our privacy policy.
Yes. Coding sits inline so billing keeps up with documentation:
See the medical-codes reference for the full library.
Yes. Twofold output is engineered for clean copy-paste into any chart, with deeper integration available on request:
Yes — internal-medicine documentation is built to meet the requirements of every major payor, inpatient and outpatient:
See the medical-codes reference for the E/M and CPT library, or our privacy policy for security details.